Cranial Radiotherapy or Intensive Chemotherapy With Hematopoietic Stem Cell Rescue for Primary Central Nervous System Lymphoma in Young Patients

NCT ID: NCT00863460

Last Updated: 2019-02-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-10-03

Study Completion Date

2026-05-31

Brief Summary

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Purpose of the study :

To evaluate the antitumoral effect of two therapeutic procedures and to evaluate their respective toxicity on the CNS.

Detailed Description

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Conditions

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Primary Central Nervous System Lymphoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A

MTX-based chemotherapy followed by WBRT

Group Type ACTIVE_COMPARATOR

cranial radiotherapy

Intervention Type RADIATION

40 Gy

MTX based chemotherapy

Intervention Type DRUG

R-MBVP 2 cycles day1 and day28 followed by R-Aracytine 2 cycles days58\&59 and days79\&80

B

MTX-based chemotherapy followed by intensive chemotherapy and hematopoietic stem cell rescue

Group Type EXPERIMENTAL

intensive chemotherapy and hematopoietic stem cell rescue

Intervention Type DRUG

intensive chemotherapy and hematopoietic stem cell rescue

MTX based chemotherapy

Intervention Type DRUG

R-MBVP 2 cycles day1 and day28 followed by R-Aracytine 2 cycles days58\&59 and days79\&80

Interventions

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cranial radiotherapy

40 Gy

Intervention Type RADIATION

intensive chemotherapy and hematopoietic stem cell rescue

intensive chemotherapy and hematopoietic stem cell rescue

Intervention Type DRUG

MTX based chemotherapy

R-MBVP 2 cycles day1 and day28 followed by R-Aracytine 2 cycles days58\&59 and days79\&80

Intervention Type DRUG

Other Intervention Names

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Thiotepa IV (250 mg/m²/day) day-9 day-8 day-7 Busulfan IV (0.8 mg/kg X 10) day-6 to day-4 Cyclophosphamide IV (60 mg/kg/day) day-3 & day-2 Reinjection of hematopoietic stem cells day0 R-RMVP : Rituximab IV if LNH type B (375 mg/m²) day1 Methotrexate IV (3g/m² during 30 minutes) day1 and day15 Etoposide IV (100 mg/m²) day2 Carmustine IV (100 mg/m²) day3 Prednisone PO (60 mg/m²/day)day1 to day5 R-Aracytine : Aracytine IV (3g/m²) day1 & day2

Eligibility Criteria

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Inclusion Criteria

* Histopathologically or cytologically proven diagnostic of Primary CNS lymphoma
* All histological types of non-Hodgkin's lymphoma, except MALT
* Age \> 18 and \< 60 ans.
* Negative for HIV, HCV and HBV
* Written informed consent -

Exclusion Criteria

* Age \< 18 or \> 60 ans
* Isolated intra-ocular lymphoma
* Previous history of indolent lymphoma
* Previous chemotherapy or radiotherapy for PCNSL
* Isolated CNS relapse of systemic NHL
* Previous history of cancer in the last 5 years, except basocellular carcinoma and non invasive cervix cancer
* Renal insufficiency or creatinin clearance \< 60 ml/min
* Liver enzymes \> 3N.
* Platelets \< 100 000/mm3 or neutrophils \< 1500/mm3)
* Previous history of organ transplantation or other cause of severe immunodeficiency
* Pregnancy or active sexual women with no contraception
* Unable to follow the protocol for any reason
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Health, France

OTHER_GOV

Sponsor Role collaborator

Hoffmann-La Roche

INDUSTRY

Sponsor Role collaborator

Amgen

INDUSTRY

Sponsor Role collaborator

Pierre Fabre Laboratories

INDUSTRY

Sponsor Role collaborator

Institut Curie

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Carole Soussain, MD

Role: PRINCIPAL_INVESTIGATOR

Institut Curie - Hôpital René Huguenin

Locations

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Cancérologie Hôpital Sud

Amiens, , France

Site Status

Chu D'Angers

Angers, , France

Site Status

CHR Argenteuil

Argenteuil, , France

Site Status

CHU de Besancon

Besançon, , France

Site Status

Institut Bergonié

Bordeaux, , France

Site Status

CHU Hôtel Dieu

Clermont-Ferrand, , France

Site Status

CHU Michalon

Grenoble, , France

Site Status

Centre Hospitalier Lens

Lens, , France

Site Status

CHU de Limoges

Limoges, , France

Site Status

CHU de la Timone

Marseille, , France

Site Status

Hôtel Dieu Nantes

Nantes, , France

Site Status

Centre Antoine Lacassagne

Nice, , France

Site Status

CHU de Nimes

Nîmes, , France

Site Status

GH Pitié-Salpétrière

Paris, , France

Site Status

CHG Saint Jean

Perpignan, , France

Site Status

CHU Hôpital Bernard

Poitiers, , France

Site Status

Chu Reims

Reims, , France

Site Status

Hôpital Pontchaillou

Rennes, , France

Site Status

Centre René Huguenin

Saint-Cloud, , France

Site Status

Institut de Cancérologie

Saint-Priest-en-Jarez, , France

Site Status

CH de Saint-Quentin

Saint-Quentin, , France

Site Status

Hôpital Bretonneau

Tours, , France

Site Status

CHU Nancy - Hôpital Neurologique

Vandœuvre-lès-Nancy, , France

Site Status

Countries

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France

References

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Houillier C, Dureau S, Taillandier L, Houot R, Chinot O, Molucon-Chabrot C, Schmitt A, Gressin R, Choquet S, Damaj G, Peyrade F, Abraham J, Delwail V, Gyan E, Sanhes L, Cornillon J, Garidi R, Delmer A, Al Jijakli A, Morel P, Waultier A, Paillassa J, Chauchet A, Gastinne T, Laadhari M, Plissonnier AS, Feuvret L, Cassoux N, Touitou V, Ricard D, Hoang-Xuan K, Soussain C; LOC Network for CNS Lymphoma. Radiotherapy or Autologous Stem-Cell Transplantation for Primary CNS Lymphoma in Patients Age 60 Years and Younger: Long-Term Results of the Randomized Phase II PRECIS Study. J Clin Oncol. 2022 Nov 10;40(32):3692-3698. doi: 10.1200/JCO.22.00491. Epub 2022 Jul 14.

Reference Type DERIVED
PMID: 35834762 (View on PubMed)

Houillier C, Taillandier L, Dureau S, Lamy T, Laadhari M, Chinot O, Molucon-Chabrot C, Soubeyran P, Gressin R, Choquet S, Damaj G, Thyss A, Abraham J, Delwail V, Gyan E, Sanhes L, Cornillon J, Garidi R, Delmer A, Tanguy ML, Al Jijakli A, Morel P, Bourquard P, Moles MP, Chauchet A, Gastinne T, Constans JM, Langer A, Martin A, Moisson P, Lacomblez L, Martin-Duverneuil N, Delgadillo D, Turbiez I, Feuvret L, Cassoux N, Touitou V, Ricard D, Hoang-Xuan K, Soussain C; Intergroupe GOELAMS-ANOCEF and the LOC Network for CNS Lymphoma. Radiotherapy or Autologous Stem-Cell Transplantation for Primary CNS Lymphoma in Patients 60 Years of Age and Younger: Results of the Intergroup ANOCEF-GOELAMS Randomized Phase II PRECIS Study. J Clin Oncol. 2019 Apr 1;37(10):823-833. doi: 10.1200/JCO.18.00306. Epub 2019 Feb 20.

Reference Type DERIVED
PMID: 30785830 (View on PubMed)

Other Identifiers

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EudraCT N° 2007-005378-30

Identifier Type: -

Identifier Source: secondary_id

CRH 07/422/H

Identifier Type: -

Identifier Source: org_study_id

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